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Organization
CYPRESS LANDING FAMILY CARE HOME
Active
Organization
CYPRESS LANDING FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MABLE P WHITE (ADMINISTRATOR)
(252) 356-2260
Entity
Organization
Contact information
Practice address
622 CULLEN RD, HARRELLSVILLE, NC 27942-9766
(252) 356-2260
(252) 356-2260
Mailing address
622 CULLEN RD, HARRELLSVILLE, NC 27942-9766
(252) 356-2260
(252) 356-2260
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
FCL-046-017
NC
311ZA0620X
Adult Care Home Facility
Primary
FCL-046-017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805116
—
NC
Enumeration date
04/04/2007
Last updated
09/15/2026
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